On a winter night in 1964, an unexpected blizzard forces Dr. David Henry to deliver his own twins. The firstborn child is a healthy boy; the doctor immediately recognizes that the second, a daughter, has Down syndrome. While his wife, Norah, is still sedated, he gives the baby girl to an attending nurse and tells her to place the child in an institution. When the mother rouses, David forgets his rehearsed words and utters, “Oh, my love. . . . I am so sorry. Our little daughter died as she was born.” From these few simple sentences springs a heartrending novel of regret, resilience and redemption.